Desoto Regional Health System | |
2026 Obrie Street Zwolle LA 71486-1339 | |
(318) 645-6013 | |
Not Available |
Full Name | Desoto Regional Health System |
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Speciality | Clinic/Center |
Location | 2026 Obrie Street, Zwolle, Louisiana |
Authorized Official Name and Position | Christopher Davis (COO) |
Authorized Official Contact | 3182703250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Desoto Regional Health System 2026 Obrie Street Po Box 1339 Zwolle LA 71486-1339 Ph: (318) 645-6013 | Desoto Regional Health System 2026 Obrie Street Zwolle LA 71486-1339 Ph: (318) 645-6013 |
NPI Number | 1932246378 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 12/06/2023 |
Medicare PECOS PAC ID | 7810898582 |
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Medicare Enrollment ID | O20041013000239 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932246378 | NPI | - | NPPES |
193449 | Other | LA | MEDICARE |
1447242 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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